mom and baby
To reduce a fracture, correct a deformity, apply uniform pressure to underlying soft tissues, provide support instability for weak joints
Name the 4 purposes for having a cast application
care for a temporary colostomy.
Nurses will need to teach the parents of the infant being treated for Hirschsprung disease (aganglionic megacolon) to: The aganglionic portion of the infant's colon will need to be removed. In most cases, bowel is allowed to rest and recoil for a period of time, necessitating a temporary colostomy. Later the colostomy can be closed and the two ends of the intestine rejoined. Thickening feedings will not relieve the colon distention and obstruction with stool. Pacifiers may be used and are soothing. Monitoring heart rate should not be necessary.
maintaining NPO status while restoring hydration and electrolyte balance.
Pyloric stenosis has been diagnosed in a 3-week-old male infant who has frequent vomiting after feedings. An important preoperative nursing intervention is:
preventing infection promoting coping conserving energy
The LPN is working with the RN to develop a plan of care for a child with nephrotic syndrome. Which of the following would be appropriate goals of treatment for this child? Select all that apply.preventing infectionpromoting copingconserving energy
Take the child's blood pressure and report the findings to the nurse while the nurse is still on the phone.
The caregiver of a child being treated at home for acute glomerulonephritis calls the nurse reporting that her daughter has just had a convulsion. The child is resting comfortably but the caregiver would like to know what to do. The nurse would instruct the caregiver to take which action?
"I will use syrup of ipecac to get it out of my child's system."
The client calls the health care provider's office stating that her preschooler drank laundry detergent from under the sink. Which statement by the parent needs further instruction?
-Notify the doctor -bivalving of the cast
The nurse is caring for a 24-year-old female client with a right tibial fracture treated with a cast 2 hours ago. The client now reports unrelenting pain, rated as 7/10, despite taking oxycodone, and decreased sensation in the right foot. A nursing assessment reveals the right foot is cooler and paler than the left foot, with delayed capillary refill and a weak pulse. Complete the following sentence by choosing from the lists of options. Based on the nursing assessment, the priority action the nurse should take is to
Effortless vomiting just after the child has eaten
The nurse is caring for a child admitted with gastroesophageal reflux (GER). Which clinical manifestation would likely be seen in this child?
blisters appear
The nurse is caring for a child admitted with partial thickness burns. What is most characteristic of this type of burn?
prepare to administer analgesics via the intravenous route
The nurse is caring for a child who experienced deep partial-thickness (deep second-degree) burns to the front of the body after falling into a campfire approximately 25 minutes prior. What action would the nurse include in the plan of care for the child?
"We need to soak the old dressing in tepid water just before we take it off."
The nurse is caring for a child with burns. The child is scheduled to be discharged the following day, and the nurse is going over discharge instructions with the parents. After teaching the parents about caring for the burn, the nurse determines that the teaching was successful when the parents make which statement about removing an old dressing?
Onset of a streptococcus infection last week
The nurse is caring for a client newly diagnosed with acute glomerulonephritis? When receiving the pediatric client's history, which is anticipated?
pulselessness
The nurse is caring for a client who experienced a crushing injury of the lower extremities. Which of the following symptoms is essential to be reported to the physician?
Abdominal palpation
The nurse is caring for a pediatric client who is scheduled for the surgical removal of a Wilms tumor. Which action is contraindicated in the client's care?
6-12months
The nurse is caring for a pt after arthroscopic surgery for a rotator cuff tear. The nurse informs the pt that full activity can usually resume after what period of time?
Risk for infection of incision line, related to disruption of skin barrier during surgery
The nurse is caring for an infant recovering from surgery for pyloric stenosis. Which nursing diagnosis should the nurse use to guide care during the immediate postoperative period?
recent ear infection
The nurse is collecting data for a child diagnosed with acute glomerulonephritis. What would the nurse likely find in this child's history?
Blood pressure 136/84
The nurse is collecting data on a 6-year-old child admitted with acute glomerulonephritis. Which vital sign would the nurse anticipate with this child's diagnosis?
bloody urine
The nurse is collecting data on a child recently diagnosed with acute glomerulonephritis. Which of the following clinical manifestations was likely noted in this child?
acute glomerulonephritis
The nurse is collecting data on a school-aged child with the following symptoms: Abrupt beginning to urinary symptoms Gross hematuria VS -99 (F), 39.2 (C), 92, 22, 142/92Mild edema Which disease condition does the nurse anticipate?
Acute pain related to thermal injuries and procedures
The nurse is developing the plan of care for a child who has suffered a major burn and has just been admitted to the acute care facility. Which nursing diagnosis would be most appropriate?
-Pale, cyanotic, or mottled color- Cool temperature of the extremity- More than 3-second capillary refill
The nurse is performing an assessment for a pt who may have peripheral neurovascular dysfunction. What signs does the patient present with that indicate circulation is impaired?
impetigo. Impetigo is a superficial bacterial skin infection. Impetigo in the newborn is usually bullous (blister-like, fluid filled); in the older child, the lesions are nonbullous and have a honey-colored, crusted appearance.
The nurse is presenting an in-service to a group of nurses who will be working in a dermatology clinic. One participant asks the nurse about a bacterial skin infection that she has seen in children that involves honey-colored crusted lesions. The nurse most likely is referring to:
Impetigo Impetigo is a superficial bacterial skin infection.
The nurse is presenting an in-service to a group of nurses who will be working in a dermatology clinic. One participant asks the nurse about a bacterial skin infection that she has seen in children. Which of the following disorders is the nurse most likely referring to?
"I will need to cover my son's skin lesions with bandages until it has healed."
The nurse is providing education to the parents of a teenaged boy diagnosed with impetigo. Which of the following statements by the boy indicates the need for further education?
"Our child will have a nasogastric tube for the first day after the surgery to receive nutrition."
The nurse is providing preoperative teaching for the parents of an 8-month-old child with Hirschsprung disease who will have two-stage surgery as treatment. Which statement by the parents demonstrates the need for further teaching?
"The child may look chubby, but he is really
The nurse is teaching an in-service program on children diagnosed with nephrotic syndrome. Which statement made by the nurse accurately reflects information on the disease process?
"I should be certain to use fabric softener in the care of the infant's clothes."
The nurse is teaching parents about the care of diaper rash. The nurse would be concerned about the parents' level of understanding if they made which statement?
periorbital edema
The nurse is triaging clients as they come in to an express care facility. Which assessment finding is clinically significant for early nephrotic syndrome?
-Decreased sensory function -Excruciating pain -Loss of motion
The nurse suspects "compartment syndrome" for a castes extremity. What characteristic symptoms would the nurse assess that would confirm these suspicions?
occurs with feeding no appearance of distress
The nurse teaches a parent to differentiate between regurgitation and vomiting in the infant. The parent correctly states which characteristic of regurgitation? Select all that apply.
Having a wound, ostomy, and continence nurse meet with them.
The parents of a boy diagnosed with Hirschsprung disease are anxious and fearful of the upcoming surgery. The mother states, "I'm worried about having to care for our son's ostomy." Which intervention would be most helpful for the parents?
"I guess my mom was right, she always put ice on our burns when we were kids."
The school nurse has completed an educational program on first aid practices in the home. Which statement about burn care by a participant would indicate a need for further education?
There is a partial or complete mechanical obstruction in the intestine.
What occurs in the gastrointestinal system of the child with Hirschsprung disease?
"My child gets diaper rash if I wash her clothes in the same detergent we use for the family."
When doing teaching with a group of caregivers of infants the nurse is discussing the topic of diaper rash. The caregivers in the group make the following statements. Which statement is the most accurate related to the child with diaper rash.
after 2 days
When is it advisable for the nurse to apply heat to a sprain or a contusion?
Provide around-the-clock pain medication as soon as pain is reported.
Which intervention is the most beneficial for a burn client undergoing a skin graft?
Colic is temporary; disappears around 3 months of age
Which is most important for caregivers to consider when caring for a newborn with colic?
arthography
Which is useful in identifying acute or chronic tears of the joint capsule or supporting ligaments of the knee, shoulder, ankle, hip, or wrist?
Topical antibiotics applied to the wound site
Which of the following interventions is the most effective in treating burn wound infections?
contution
Which of the following is a term used to describe a soft tissue injury produced by a blunt force?
sprain
Which term refers to an injury to ligaments and other soft tissues surrounding a joint?
- Burning- Photosensitivity- Dryness
An adolescent is to receive topical retinoid therapy for his moderately severe acne. The nurse would instruct the adolescent about which adverse effects? Select all that apply.
Staphylococcus aureus
An infant has presented at the clinic with impetigo. Which organism usually causes impetigo in infants?
assess for complication
A client with a long arm cast continues to complain of unrelieved throbbing pain even after receiving opioid pain medication. Which is the priority action by the nurse?
hormonal secretion
A group of nursing students are reviewing the components of the endocrine system. The students demonstrate understanding of the review when they identify what as the primary function of this system?
second degree burn
A young child has just been admitted to the emergency department with a burn that encompasses the dermis and the underlying dermis. From which type of burn does this child suffer?
Kwashiorkor
A young child has presented to the pediatric unit with a swollen abdomen, edema, thin patchy hair, and irritability with growth retardation and muscle wasting. The nurse suspects a malnutrition disorder. The nurse identifies this child to most likely have which condition?
Wilms tumor
An adenosarcoma found in the region of the kidney in a child would most likely be:
capillary refill
An important nursing assessment, post fracture, is to evaluate neurovascular status. Therefore, the nurse should check for:
External soft tissue
Fracture healing occurs in four areas, including the
The child's respiratory rate is 32 breaths a minute.
In caring for a 3 ½-year-old child admitted after being severely burned, the nurse collects the following data. Which of the following would be most important for the nurse to report immediately?
a) prepare the infant for surgery.
In caring for an infant diagnosed with pyloric stenosis the nurse would anticipate which intervention?
Full thickness
The nurse is assessing a child who pulled a boiling pot of soup off of the stove top. The child reports pain at a 9 on a scale of 0 to 10. The burn is red and edematous, and also shows areas of charred skin. The nurse is aware that these signs and symptoms are indicative of what kind of burn?
Abdominal pain Hypertension Crackles
The nurse is assessing a child with acute poststreptococcal glomerulonephritis. Which client symptoms would the nurse anticipate during assessment? Select all that apply.
upper abdominal distention visible peristaltic waves olive-sized mass in the epigastric area
The nurse is assessing the abdomen of a 4-week-old infant who is suspected of having pyloric stenosis. Which of the following would the nurse most likely assess? Select all that apply.
a chemical burn
The nurse is caring for a 2-year-old boy with a burn. What finding would warrant referral to a burn unit?
take a stool sample
The nurse is caring for a 6-month-old infant who was admitted to the emergency department 24 hours ago with signs of severe diarrhea. The infant's rectal temperature is 104°F (40°C), with weak and rapid pulse and respirations. The skin is pale and cool. The child is on IV rehydration therapy, but the diarrhea is persisting. The infant has not voided since being admitted. Which is the priority nursing intervention?
Airway obstruction related to upper respiratory swelling
The nurse is caring for a 6-year-old patient brought into the emergency department for burns from a house fire. The nurse notes burn areas surrounding the patient's nose and mouth upon initial assessment. Which of the following priority complications should the nurse be alerted to?
Stocking-glove pattern on hands or feet
The nurse is caring for a 7-year-old with burns. Which finding would be highly suggestive of a child abuse-induced burn?
Edema with wet blistering skin
The nurse is caring for a child with a partial-thickness burn. What assessment findings would the nurse expect to observe?
eyes
The nurse is caring for a child with nephrotic syndrome. The child is noted to have edema. The edema would most likely be seen where on this child?
keep the cast clean and dry
The nurse is caring for a client with a spica cast. What is the nurse's priority intervention?
The nurse follows contact precautions.
The nurse is caring for an infant who has impetigo and is hospitalized. Which nursing action is priority?The nurse soaks the skin with warm water. The nurse applies topical antibiotics to the lesions. The nurse follows contact precautions. The nurse applies elbow restraints to the infant.
food allergies
The nurse is collecting data on a child who has been brought to the clinic. The child has urticaria, pruritus, stomach pains, and respiratory symptoms. The nurse recognizes that the clinical manifestations noted in this child are commonly seen in which disorder?
"Let's meet with the dietitian and plan some meals."
The nurse is preparing a 7-year-old girl for discharge after treatment for nephrotic syndrome. Which instructions would the nurse include in the discharge teaching plan for the parents?
The primary symptom of pinworms is intense perianal itching.
The nurse is presenting information related to intestinal parasite infections to a group of community health nurses. One member of the group asks the nurse how she might know if a child had a pinworm infestation. The nurse correctly answers this question by stating which of the following?
Decreased sensory function, excruciating pain, loss of motion
The nurse suspects compartment syndrome for a casted extremity. What characteristic symptoms would the nurse assess that would confirm these suspicions?
Necrosis, impaired tissue perfusion, do perfusion, pressure ulcer formation, and possibly paralysis
Unrelieved pain for a patient in a cast must be immediately reported to avoid what
Pain, pallor, pulselessness, parasthesia, paralysis
What are the 5 peas that should be assessed as part of the neuro vascular check?
Scoliosis
What is the term for a lateral curving of the spine?
Diapers should be folded so that the incision line does not become contaminated.
When providing diaper care to an infant after pyloric stenosis surgery, which approach is indicated?
- The client with elevated pressure within the muscles- -The client with hemorrhage in the site of injury- -The client with a plaster cast applied immediately after injury
Which client(s) is most likely to have compartment syndrome after sustaining a fracture? Select all that apply.
sunken fontantels (fontanelles)
Which finding would lead the nurse to suspect that a child is experiencing moderate dehydration?
Feed with formula thickened with rice cereal.
A 1-month-old infant is diagnosed with gastroesophageal reflux. Which intervention should the nurse teach the mother to help with the symptoms of this disorder?
Ensure that the child is voiding
A 2-month-old infant experiencing severe diarrhea is prescribed intravenous fluid replacement. Before adding potassium to this solution, which assessment should the nurse make?
Vomiting immediately after feeding
A 6-week-old infant is diagnosed with pyloric stenosis. When taking a health history from the parent, which symptom would the nurse expect to hear described?
intussusception
A 9-month-old girl is brought to the emergency room with what appears to be bouts of intense abdominal pain 15 minutes apart in which she draws up her legs and cries, often accompanied by vomiting. In between the bouts, the child recovers and appears to be without symptoms. Blood is found in the stool. What condition should the nurse suspect in this case?
barium enema
A child is diagnosed with intussusception. The nurse anticipates that what action would be attempted first to reduce this condition?
How does the feeling in the affected extremity compare with the feeling in the unaffected extremity? When did the alteration in sensations begin?
A nurse is taking a health history on a new client who has been experiencing unexplained paresthesia. Which question will guide the nurse's assessment of the altered sensations? Select all that apply.
"I had our plumber lower our water heater temperature to 130°F (53°C).
A nurse is teaching a group of parents about burn safety. Which statement made by a parent requires intervention by the nurse?
9-year-old with asthma and burns to the face 8-year-old with an inhalation injury 6-year-old with burns involving the knees and hips 10-year-old with second-degree (partial-thickness) burns over 15% of the body
A nurse is working as part of a response team caring for children who have been involved in an elementary school fire. Which children would the nurse identify as needing a referral to a burn unit? Select all that apply.
Reactive phase, reparative phase, remodeling phase
A patient has a fracture of the right femur sustained in an automobile accident. What process of fracture healing does the nurse understand will occur with this patient?
Second-degree or partial-thickness burn:
A young child has just been admitted to the emergency department with a burn that encompasses the epidermis and the underlying dermis. From which type of burn does this child suffer?
100.5
A nurse is providing care to a hospitalized child who has burns over 40% of the body. The child is receiving intravenous fluid replacement with a 24 hour total of 3,216 ml. The nurse is administering the second half of the fluid between 0100 and 1700 hours. What rate should the nurse set the infusion pump? Record your answer using one decimal place.
Airway remains patent.
A nurse is providing care to an infant who is admitted with burns over the face, neck and chest. The nurse identifies which goal as priority for planning the infant's care?
Apply cold compresses to the area
A school-age child is brought to the office of the camp nurse with a small, superficial burn. Which of the following actions by the nurse would be the most appropriate action for the nurse to do first?
Administer pain medication as prescribed.
The nurse is caring for a 9-year-old child with partial-thickness (second-degree) burns. The client rates the pain at an 8 on a 1 to 10 numerical pain scale. The nurse notes the client is sitting in the bed playing with toys and smiling. Which action will the nurse take?
lower right quadrant
A 10-year-old male presents with low-grade fever, nausea, and abdominal pain. The nurse examining him suspects appendicitis and checks for rebound tenderness in what quadrant?
Second degree sprain
A 19-year-old patient presents to the emergency room with an injury to her left ankle that occurred during a high school basketball game. She complains of limited motion and pain on walking, which increased over the last 2 hours. The nurse knows that her diagnosis is most likely which of the following?
Make arrangements to transfer the child to the hospital.
A 2-year-old child is brought to the urgent care center for treatment of burns on both hands. The parent reports that the child pulled the coffee pot over and the hot liquid splashed on to the child's hands. The nurse examines the child and notes that the backs of the hands are reddened with a well-defined line of demarcation at the wrists. Several medium to large blisters are also present. What initial action should the nurse take?
Explain that children who have had a serious injury sometimes exhibit regressive behavior.
A 30-month-old child has been discharged from the hospital after receiving treatment for second-degree (partial-thickness) burns over 6% of the body. One week later, the parent calls the nurse to say that the child has been drinking from a cup for one year, but is now constantly pulling at the mother's breast trying to nurse and refuses to drink from a cup. What is the best way for the nurse respond?
Applying a cold pack to the injured site
A patient has suffered a muscle strain and is complaining of pain that she rates at 6 on a 10-point scale. The nurse should recommend what action?
Compartment syndrome
A patient is complaining of pain in her casted leg. The nurse has administered analgesics and elevated the limb. Thirty minutes after administering the analgesics, the patient states the pain is unrelieved. The nurse should identify the warning signs of what complication?
paresthesia
A pt comes to the clinic and informs the nurse of numbness, tingling, and a burning sensation in the arm from the elbow down to the fingers. What type of symptom would this be documented as?
-Apply an emollient lotion to soften the skin -Control swelling with elastic bandages, as directed -Gradually resume activities and exercise
A pt has a cast removed after bone healing takes place. What should the nurse instruct the pt to do after the removal?
-Apply a compression bandage to the area- -Administer a mild analgesic- -Inform the pt that a clicking or crackling noise in the joint may persist for a couple of days
A pt is having repeated tears of the joint capsule in the shoulder, and the physician orders an arthrogram. What intervention should the nurse provide after the procedure is completed?
-Assess the fingers for color and temperature- -Assess for a pressure sore -Determine the exact site of the pain
A pt with an arm cast complains of pain. What nursing interventions should the nurse provide in order to reduce the incidence of complications?
gastroesophageal reflux disease (GERD)
Noah is an 18-month-old boy who is brought to the emergency department with flu-like symptoms. He is diagnosed with pneumonia secondary to aspiration of stomach contents. The nurse explains to the parents that this condition is most likely the result of which of the following?
care for a temporary colostomy.
Nurses will need to teach the parents of the infant being treated for Hirschsprung disease (aganglionic megacolon) to:
Impetigo is highly contagious and can spread quickly.
The community nurse receives a call from a local day care center. One of the children in the center has been diagnosed with impetigo. Which information related to impetigo will the nurse provide to the day care center?
short bones
The human body has 206 bones, which are classified into four categories. Which types of bones are located in the digits?
aspiration
The nurse completes a 1-month-old's feeding and sits the infant up to burp. The infant vomits back the feeding. Which is the nurse's primary concern?
Our child will have a nasogastric tube for the first day after the surgery to receive nutrition." Explanation: With the two-step surgery for Hirschsprung disease, the first surgery establishes a colostomy and the second surgery comes at around 18-months for bowel repair. The child will be able to resume breastfeeding or other fluids after about 24 hours and the resumption of bowel sounds and passing flatus, and then slowly re-introduce solids. There will be a nasogastric tube postoperatively but not for nutrition. The nasogastric tube is connected to suction to prevent nausea, vomiting, and gastric distention.
The nurse is providing preoperative teaching for the parents of an 8-month-old child with Hirschsprung disease who will have two-stage surgery as treatment. Which statement by the parents demonstrates the need for further teaching?
The nurse administers diuretics The nurse administers antihypertensives. The nurse weighs the child every day using the same scale. The nurse dipsticks the child's urine to test for protein.
When caring for a child who has a diagnosis of acute glomerulohephritis, which nursing interventions would most likely be included in the child's plan of care? Select all that apply.
Hirschsprung disease
A neonatal nurse teaches students how to recognize gastrointestinal disorders in infants. The nurse tells the students that failure of the newborn to pass meconium in the first 24 hours after birth may indicate what disease?
medication
A nurse is caring for a burn patient with second and third degree burns on 15% of the body. The patient is complaining of severe itching in and around the burn sites. Which of the following is the best nursing intervention to relieve this symptom?
Administer diphenhydramine.
A nurse is caring for a child with second and third degree burns over 15% of the body. The child reports severe itching in and around the burn sites. Which action would be most appropriate for the nurse to perform?
Encourage the patient to avoid scratching, and obtain an order for an antihistamine if severe itching persists.
A nurse is caring for a patient who has a leg cast. The nurse observes that the patient uses a pencil to scratch the skin under the edge of the cast. How should the nurse respond to this observation?
Maintaining the intravenous (IV) fluid rate as ordered
The nurse has developed a plan of care for a 12-month-old hospitalized with dehydration as a result of rotavirus. Which intervention would the nurse include in the plan of care?
Schedule feedings every 2 to 3 hours. Limit feedings to approximately 20 minutes. Be relaxed when feeding to promote relaxation.
The nurse is caring for a 6-month-old infant who has been nutritionally deprived. The infant appears weak and uninterested in eating. Which nursing interventions are most helpful? Select all that apply.
severe dehydration
A 3-month-old is admitted with severe diarrhea. Yesterday, the infant weighed 11 pounds (5 kg). Today, this infant weighs 9 pounds, 8 ounces (4.3 kg). Based on this information the nurse documents that the infant has:
vomiting immediately after eating-pyloric stenosis
A 6-week-old infant is diagnosed with pyloric stenosis. When taking a health history from the parent, which symptom would the nurse expect to hear described?
banana
A child has presented to the clinic with diarrhea. The nurse should teach the parent to give which item to properly care for the child?
Tetanus
A child is admitted to the acute care facility with a burn injury. The nurse would check the child's immunization status, specifically for which of the following?
It is normal for the growing child to require an increase in insulin; this does not mean their condition is getting worse.
A child was recently diagnosed with type 1 diabetes. The nurse is preparing to teach the child and their parents about the insulin therapy the health care provider has prescribed. What should the nurse ensure is included in this training?
acute glomerulonephritis
A client has just been admitted to the unit with a history of recent strep infection, hematuria, and proteinuria. Based on these findings, the nurse would suspect which condition?
Report joint crackling or clicking noises occurring after the second day.
A client has just undergone arthrography. What is the most important instruction for the nurse to include in the teaching plan?
Apply a cold pack at the insertion site.
A client has undergone arthroscopy. After the procedure, the site where the arthroscope was inserted is covered with a bulky dressing. The client's entire leg is also elevated without flexing the knee. What is the appropriate nursing intervention required in caring for a client who has undergone arthroscopy?
arthrogram
A client is scheduled to have an x-ray examination of the shoulder in which the synovial fluid will be aspirated and sent to the laboratory for analysis. This will be followed by administration of a contrast medium and x-rays. What procedure will the nurse prepare the client for?
Scoliosis
A nurses assessment of a teenage girl reveals that her shoulders are not level and that she has one prominent scapula that is accentuated by bending forward. The nurse should expect to read about what health problem in the patients electronic health record?
gastroenteritis
A parent brings a 2-year-old child to the health clinic with reports of diarrhea, vomiting, and abdominal pain. The father tells the nurse that he is a single parent and his child is enrolled in a local day care center. Based on this information, what gastrointestinal condition might the nurse suspect?
Encourage the parent to talk more about feelings.
A parent is observing a nurse provide care for the parent's 2-year-old toddler who was burned in a house fire. When the nurse is finished, the parent tells the nurse "I cannot believe this has happened. I should have been able to prevent this from happening." What is the best action for the nurse to take?
"I should offer Pedialyte after 1 hour and frequently thereafter to prevent dehydration."
The nurse is advising a group of new parents on how to care for their infant at home if the baby develops mild diarrhea. Which statement indicates that teaching has been effective?
The parents report that their son "can't drink enough water."
The nurse is assessing a 13-year-old boy with type 2 diabetes mellitus. What would the nurse correlate with this disorder?
A fever is commonly noted with a UTI. Change diapers promptly, especially after bowel movements. Female urethras are shorter and straighter than males.
The nurse is caring for a 7-month-old female infant diagnosed with a urinary tract infection (UTI). The parents are upset as this is the infant's second UTI with a fever. Which instruction is most helpful? Select all that apply.
The nurse follows contact precautions. Impetigo is highly contagious and can spread quickly. The nurse should follow contact (skin and wound) precautions, including wearing a cover gown and gloves. The nurse will soak the crusts with warm water, apply topical antibiotics, and apply elbow restraints, but these are not as high a priority as trying to prevent the spread of the infection by following contact precautions.
The nurse is caring for an infant who has impetigo and is hospitalized. Which of the following nursing interventions is the highest priority for this child?
tear in the joint capsule
The nurse working in the orthopedic surgeon's office is asked to schedule a shoulder arthrography. The nurse determines that the surgeon suspects which of the following findings?
"I should use my heating pad this evening to reduce some of the pain in my knee."
A client undergoes an arthroscopy at the outpatient clinic. After the procedure, the nurse provides discharge teaching. Which response by the client indicates the need for further teaching?
arthroscopy
A pt is scheduled for a procedure that will allow the physician to visualize the knee joint in order to diagnose the pts pain. What procedure will the nurse prepare the pt for?
Apply oxygen to maintain oxygen saturations 95% or greater. Administer 100 mcg/kg morphine via intravenous push (IVP) for pain prn q4 hour. Initiate fluid resuscitation per Lund and Browder chart using Parkland formula with 0.9%
An emergency department nurse is caring for a 5-year-old child who was just brought in by ambulance with partial-thickness (second-degree) and full-thickness (third-degree) burns to their face, neck, and chest. The client is awake and alert. Vital signs: temperature, 97.2°F (36.2°C); heart rate, 148 beats/min; blood pressure, 68/39 mm Hg; respiratory rate, 32 breaths/min; oxygen saturation, 90% on 2 liters by nasal cannula. The nurse receives prescriptions for the client. Click to highlight the prescription(s) that requires immediate implementation.
steatorrhea- this is celiac diseases
The caregiver of a child diagnosed with celiac disease tells the nurse that the child has large amounts of bulky stools and what looks like fat in the stools. The clinical manifestation this caregiver is describing is:
acute glomerulonephritis
The caregiver of a child with a history of ear infections calls the nurse and reports that her son has just told her his urine "looks funny." He also has a headache, and his mother reports that his eyes are puffy. Although he had a fever 2 days ago, his temperature is now down to 100℉ (37.8℃). The nurse encourages the mother to have the child seen by the care provider because the nurse suspects the child may have:
fever
A nurse is caring for a patient who has just had an arthroscopy as an outpatient and is getting ready to go home. The nurse should teach the patient to monitor closely for what postprocedural complication?
Hard, moveable, olive-shaped mass in the right upper quadrant
The parents of a 6-week-old boy come to the clinic for evaluation because the infant has been vomiting. The parents report that the vomiting has been increasing in frequency and forcefulness over the last week. The mother says, "Sometimes, it seems like it just bursts out of his mouth." A diagnosis of hypertrophic pyloric stenosis is suspected. When performing the physical examination, what would the nurse most likely find?